London Regional Cancer Program, London, ON.
Curr Oncol. 2012 Aug;19(4):209-16. doi: 10.3747/co.19.981.
We set out to create a psychosocial oncology care framework and a set of relevant recommendations that can be used to improve the quality of comprehensive cancer care for Ontario patients and their families.meet the psychosocial health care needs of cancer patients and their families at both the provider and system levels.
The adapte process and the practice guideline development cycle were used to adapt the 10 recommendations from the 2008 U.S. Institute of Medicine standard Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs into the psychosocial oncology care framework. In addition, the evidence contained in the original document was used, in combination with the expertise of the working group, to create a set of actionable recommendations. Refinement after formal external review was conducted.
The new framework consists of 8 defining domains. Of those 8 domains, 7 were adapted from recommendations in the source document; 1 new domain, to raise awareness about the need for psychosocial support of cancer patients and their families, was added. To ensure high-quality psychosocial care and services, 31 actionable recommendations were created. The document was submitted to an external review process. More than 70% of practitioners rated the quality of the advice document as high and reported that they would recommend its use.
This advice document advocates for a multidisciplinary approach to cancer care in response to the distress experienced by cancer patients and their families. The recommendations will be useful in future to measure performance, quality of practice, and access to psychosocial services.
我们旨在创建一个心理肿瘤学护理框架和一套相关建议，以改善安大略省患者及其家属的综合癌症护理质量，满足癌症患者及其家属在提供者和系统层面的心理健康需求。
采用适应性过程和实践指南制定周期，将 2008 年美国医学研究所标准“癌症全患者护理：满足心理社会健康需求”中的 10 项建议改编为心理肿瘤学护理框架。此外，还利用原始文件中包含的证据，结合工作组的专业知识，创建了一套可操作的建议。经过正式的外部审查进行了改进。
新框架由 8 个定义明确的领域组成。在这 8 个领域中，有 7 个是从源文件中的建议改编而来的；增加了 1 个新领域，即提高对癌症患者及其家属心理支持需求的认识。为了确保高质量的心理社会护理和服务，创建了 31 项可操作的建议。该文件提交给外部审查程序。超过 70%的从业者认为该建议文件的质量很高，并表示他们将推荐使用该文件。
该建议文件倡导采用多学科方法治疗癌症，以应对癌症患者及其家属的痛苦。这些建议将有助于未来衡量绩效、实践质量和获得心理社会服务的情况。
